Penile Metastasis Secondary to Esophageal Squamous Cell Carcinoma: A Case Report and Review of the Literature

食道癌陰莖轉移：病例報告及文獻回顧

鄭文炫(Wen-Hsuan Cheng) ； 李建達(Jane-Dar Lee) ； 陳立民(Li-Mien Chen) ； 鄭紹宇(Shaw-Yeu Jeng)

《臺灣泌尿科醫學會雜誌》 16卷1期 (2005/03) Pp. 17-20

摘要

轉移至陰莖之惡性腫瘤很少由其他地方轉移過來，特別是從食道來的更是罕見，回顧文獻最常轉移到陰莖的是泌尿道腫瘤，占74.3%，其次是腸胃道腫瘤，占18.6%，我們報告這一篇病例是食道癌陰莖轉移。這篇是目前爲止文獻報告中第二例食道癌陰莖轉移病例。
陰莖轉移癌至今尚無一套公認可接受的治療方法，是否把腫瘤切除乾淨，邊緣2公分無殘留，或是加上其他的輔助療法，都不能確定可以延長病人的存活率。一般來說，食道癌轉移到陰莖預後很差，我們這個病人在發現轉移後，經歷了一年即死亡，所以，治療的目標首要是改善病人的生活品質。

關鍵字

轉移腫瘤 ； 食道癌 ； 陰莖癌 ； 陰莖

並列摘要

Tumors that metastasize to the penis are very rare, especially primary esophageal carcinomas. A review of the literature showed that frequent primary sites are the genitourinary system (74.3%) and gastrointestinal tract (18.6%). We report a case of a metastatic penile tumor secondary to an esophageal carcinoma. To our knowledge, this is the second case of penile metastasis from an esophageal carcinoma reported in the literature so far.
There is no universally accepted treatment for metastatic penile malignancies. Whether tumor excision with a 2-cm margin-free status or palliative therapy can improve survival has not been definitively concluded. Generally, the prognosis of metastatic penile tumors from esophageal squamous cell carcinomas is poor. Our patient died 1 year after the diagnosis of his metastases. Improvement of the quality of life is the goal of treatment.

並列關鍵字

penile metastasis ； esophageal neoplasm ； penile neoplasms